Organization Active NPI

Cottman & Castor Pain Management

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1629201314
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD044909E Issued in PA
Legal business name
COTTMAN & CASTOR PAIN MANAGEMENT
Practice address
1934 Cottman Ave
Philadelphia, PA 19111-3817
Phone
(215) 745-7970
Fax
(215) 745-7972
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Anthony Chavarria Sr., M.D.
Title
Physician
Phone
(215) 745-7970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X MD044909E PA Primary

Addresses

Primary practice location

1934 Cottman Ave
Philadelphia, PA 19111-3817

Mailing address

1934 Cottman Ave
Philadelphia, PA 19111-3817
Phone (215) 745-7970

National Provider Directory

National Provider Directory

Locations

1934 Cottman Ave
Philadelphia, PA 19111
Phone (215) 745-7970

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1629201314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113817",
            "telephone_number": "215-745-7970",
            "fax_number": "215-745-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113817",
            "telephone_number": "215-745-7970",
            "fax_number": "215-745-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTMAN & CASTOR PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-745-7970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD044909E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.